Emergency Medical Services. Группа авторов

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of ionizing radiation What radiation does not do Resources for the responder Training How to protect yourself Dirty bombs, exposure burns, and ingestion injury Nuclear weapons Effect on medical care Summary References Additional resources CHAPTER 106: Weapons of mass destruction Introduction Unique aspects of WMD Special requirements for WMD response Conclusion References SECTION VIII: Special Environments CHAPTER 107: Tactical emergency medical support Introduction History of tactical teams and TEMS The TEMS environment and limitations of traditional EMS response Operational considerations for clinician and casualty Tactical medical clinicians Controversies in TEMS Summary Acknowledgment References CHAPTER 108: Technical rescue, confined space, and limited access situations Technical rescue Urban search and rescue Confined space medicine Rescuer safety Specific clinical problems Summary References CHAPTER 109: Wilderness EMS Introduction Current Operations and Epidemiology Standardization Scopes of Practice Medical Oversight Operations Communications Protocols WEMS‐Specific Extrication, Treatment, Transport Equipment Survival Skills and Capability for Autonomous Operation Challenges to WEMS Systems Summary Author Disclosures References CHAPTER 110: Mobile integrated health and community paramedicine Introduction Brief history to present day Personnel education Medical oversight Integration with health care systems Conclusion Acknowledgment References SECTION IX: Safety and Quality CHAPTER 111: Patient safety culture Introduction to patient safety How accidents happen Doing things right Patient safety in EMS Just culture and adverse event reporting Evaluating organizational safety culture Changing organizational culture Safety management systems in EMS Methods to improve patient safety in EMS The future of patient safety in EMS Conclusion References CHAPTER 112: The evolution of quality concepts and methods Introduction Origins of improvement science History of quality improvement in health care Frameworks for quality improvement History of quality improvement in EMS Conclusions

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